Kenneth D Brewer, RDN is a medicare enrolled "Physician Assistant" provider in Fairbanks, Alaska. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Golden Heart Emergency Physicians Inc and his current practice location is
1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 458-6943.
Kenneth D Brewer is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871089052.
Healthcare Provider's Profile
| Full Name | Kenneth D Brewer |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 1650 Cowles St, Fairbanks, Alaska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenneth D Brewer graduated from medical school in 2022
NPI Data:
- NPI Number: 1871089052
- Provider Enumeration Date: 07/10/2018
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840669230
- Enrollment ID: I20221206003470
Medical Identifiers
Medical identifiers for Kenneth D Brewer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871089052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Golden Heart Emergency Physicians Inc | 1658461892 | 21 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth D Brewer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth D Brewer, RDN
1010 8th Ave,
Fairbanks, AK 99701-4437
Ph: (907) 854-3391 | Kenneth D Brewer, RDN
1650 Cowles St,
Fairbanks, AK 99701-5907
Ph: (907) 458-6943 |
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